Shannon Henwood P.T.

NPI 1710046602 - Physical Therapist - 225100000X

NPI Details
NPI 1710046602
Gender Female
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4060 4TH AVE
#105
SAN DIEGO CA, 92103-2116, US
Phone (619) 299-5246
Fax (619) 299-5751
Business Location
5962 LA PLACE CT
STE 170
CARLSBAD CA, 92008-8807, US
Phone (800) 929-4776
Fax (760) 931-8370
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT 13033
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According to our database, Shannon Henwood P.T. NPI is 1710046602, taxonomy code is 225100000X and license number is PT 13033, license state is located at California. Shannon Henwood P.T. physically located at 4060 4th Ave, San Diego CA, 92103-2116. NPI Number Shannon Henwood P.T. has the Individual type.

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1710046602 NPI number is provided on an as is basis without warranty of any kind. 1710046602 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Henwood P.T. are for informational purposes only.